Which of the following is not typically associated with high phosphorus levels in hemodialysis patients?

In the context of hemodialysis patients, high phosphorus levels, or hyperphosphatemia, can lead to various health complications due to the disruption of normal mineral metabolism.

Itching is a common symptom in patients with elevated phosphorus levels, known as pruritus. This condition is often associated with the accumulation of waste products and can be exacerbated by high phosphorus levels, leading to significant discomfort.

Bone pain can occur due to the imbalance of minerals that affect bone health. High levels of phosphorus can lead to secondary hyperparathyroidism, where the parathyroid glands produce excess parathyroid hormone in response to low calcium levels, resulting in bone pain and fragility.

Fatigue can also be a consequence of hyperphosphatemia. The accumulation of phosphorus in the blood may affect the body's energy levels and overall sense of well-being, contributing to feelings of exhaustion.

In contrast, an increased appetite is not typically associated with high phosphorus levels. In fact, many patients with hyperphosphatemia may experience a reduced appetite due to the general malaise and the impacts of renal failure on their dietary needs, leading to restrictions in phosphorus intake. Therefore, the presence of increased appetite in this context is not expected.